Kelly, Mary Kate

Kelly, Mary Kate is an individual health care provider with primary practice located at 16600 W Sprague Rd Suite 120, Middleburg Heights OH 44130-6318. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kelly, Mary Kate can be contacted via phone (440) 826-0500.

Contact Information

Primary practice address
16600 W Sprague Rd Suite 120 Middleburg Heights OH 44130-6318
Phone: (440) 826-0500
Fax: (440) 826-0501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN209986 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.12773-NP Ohio

Profile Details

NPI number 1699053868
LBN Legal business name Kelly, Mary Kate
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Apr 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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